FRED MICHAEL ITVELDT (MSN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619393204
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for FRED MICHAEL ITVELDT (MSN)
1005 N PINES RD
STE 310
SPOKANE VALLEY, WA 992064958
Phone: (509) 868-0876
Fax: (509) 385-0670
Type: Mailing
12615 E MISSION AVE STE 310
SPOKANE VALLEY, WA 992161047
Phone: (509) 707-8581
Fax: (509) 443-5269
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,296.
Total Amount is formed as General ($1,296) + Research ($0) + Ownership ($0) = $1,296.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($243).
Total Amount
$1,296
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $243 |
| E.R. Squibb & Sons, L.L.C. | $147 |
| ABBVIE INC. | $143 |
| Janssen Pharmaceuticals, Inc | $139 |
| Janssen Scientific Affairs, LLC | $115 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140522000203 | I | Nurse Practitioner | WA | TBD |
| I20160630000068 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 18 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 32 | 13 | $0 |
Insurance plans in this area (ZIP 99206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 48 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID |
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